Nasal Septal Deviation and Its Association With Maxillary Sinus Volume and Sinusitis: A Computed Tomography Study.

IF 1 4区医学 Q3 SURGERY

Journal of Craniofacial Surgery Pub Date : 2025-07-16 DOI:10.1097/SCS.0000000000011664

Osman Konukoglu, Murat Kaya, Baris Can Arslan

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引用次数: 0

Abstract

Purpose: The objective of this study was to assess the potential impact of nasal septal deviation (NSD) on the volume of the maxillary sinuses and its association with the development of maxillary sinusitis.

Methods: Patients who presented with sinonasal symptoms at our tertiary care center and underwent paranasal sinus CT scans were retrospectively evaluated. The study included individuals over the age of 18 who had no history of maxillofacial surgery or trauma and no facial masses. When evaluating the nasal septum, the convex portion of the septum was considered the direction of deviation.

Results: Data from 470 participants were analyzed. Among the patients, 47.23% (n=222) were male, and 52.77% (n=248) were female. A straight nasal septum was observed in 27.66% (n=130) of the patients, while 34.89% (n=164) had right-sided deviation, and 37.45% (n=176) had left-sided deviation. A statistically significant relationship was found between NSD and gender (P=0.036). The presence of right or left deviation was associated with differences in maxillary sinus volumes (P=0.009 and P=0.003, respectively). However, no association was found between NSD and either bilateral or unilateral maxillary sinusitis (P>0.05).

Conclusion: Nasal septal deviation affects the development of the maxillary sinus but is not associated with the incidence of maxillary sinusitis.

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鼻中隔偏曲及其与上颌窦容积和鼻窦炎的关系：一项计算机断层扫描研究。

目的：本研究的目的是评估鼻中隔偏曲（NSD）对上颌窦体积的潜在影响及其与上颌鼻窦炎发展的关系。方法：在我们的三级保健中心出现鼻窦症状并进行鼻窦CT扫描的患者进行回顾性评估。该研究包括年龄在18岁以上、没有颌面手术或创伤史、没有面部肿块的个体。在评估鼻中隔时，鼻中隔的凸部被认为是偏离的方向。结果：分析了470名参与者的数据。其中男性222例，占47.23%；女性248例，占52.77%。27.66% （n=130）的患者鼻中隔挺直，34.89% （n=164）的患者右侧偏曲，37.45% （n=176）的患者左侧偏曲。NSD与性别有统计学意义（P=0.036）。右偏或左偏与上颌窦容积差异相关（P=0.009和P=0.003）。然而，NSD与双侧或单侧上颌窦炎均无相关性（P < 0.05）。结论：鼻中隔偏曲影响上颌窦的发育，但与上颌窦炎的发生无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Craniofacial Surgery 医学-外科

CiteScore

1.70

自引率

11.10%

发文量

968

审稿时长

1.5 months

期刊介绍： The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.